Patient Registration
Save time at your first appointment by completing our online registration forms.
Alternatively, print and complete these forms and bring to your first appointment.
- Patient Registration – New patient registration
- Medical History – Let us know about your previous or current medical condition
- Financial Policy – Understand our payment policy for services rendered
- Notice of Privacy Practices – this form describes how your dental information is protected
- HIPAA Addendum – authorization to release medical information to specified persons
- How You Heard About Us – Let us know how you heard about our practice
- Records Release to Waushara Dental
- Records Release from Waushara Dental